Individual
JANUARY INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 MAIN ST, OREGON CITY, OR 97045-1815
(506) 655-1029
Mailing address
706 MAIN ST, OREGON CITY, OR 97045-1815
(506) 655-1029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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